EAP Provider Quick Start Guide · any non-work/non-employer related legal concerns the client may...

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EAP Provider Quick Start Guide What is my role as an EAP Provider? Confidential and timely problem identification/assessment services for clients with personal concerns that may affect job performance; Use of constructive confrontation, motivation, and short-term intervention with clients to address problems that affect job performance; Referral of clients for diagnosis, treatment, and assistance, as well as case monitoring and follow-up services. As an EAP provider, you cannot complete short term disability forms, evaluation forms for court purposes, fitness for duty evaluations, psychological testing or any other documents that would be completed by a “treating” provider. Referral Information: This client has been authorized EAP sessions by KEPRO for face-to-face assessment/short-term counseling/referral. If treatment beyond the EAP services is appropriate, please assist the client in connecting to an appropriate resource or provider covered through their health plan. KEPRO will not assume financial responsibility for services beyond the authorized EAP sessions or any services that have not been authorized by the EAP. KEPRO allows clinicians to self-refer. If you are a participating provider with the client’s health plan, you may continue care through that modality. Billing: The EAP client is NOT responsible for payment for any EAP sessions. Enclosed VOUCHER forms are to be completed by the provider for each session and must be received within 45 days of the session to be paid. Please include the Assessment/Referral form with the first session voucher. At the time of case closure, please return the Closure Voucher, even if there was not a closure session. PLEASE MAIL VOUCHERS TO: EAP VOUCHER PAYMENTS 6085 Marshalee Drive, Suite 110 Elkridge, MD 21075 Fax: 1-866-480-8341 EAP Sessions are paid at your KEPRO contracted reimbursement rate in accordance with the terms of the EAP Affiliate Agreement. Please call (800) 713-6251 with any provider questions. Please do NOT submit a HCFA form or a DSM-V Diagnosis for EAP visits. Questions or Concerns regarding this referral? Please call us at 1-800-713-6251 http://eap.kepro.com

Transcript of EAP Provider Quick Start Guide · any non-work/non-employer related legal concerns the client may...

Page 1: EAP Provider Quick Start Guide · any non-work/non-employer related legal concerns the client may have. In addition, the client also has the ability to retain the services of a network

EAP Provider Quick Start Guide

What is my role as an EAP Provider?

Confidential and timely problem identification/assessment services for clients with personal concerns that may affect job performance;

Use of constructive confrontation, motivation, and short-term intervention with clients to address problems that affect job performance;

Referral of clients for diagnosis, treatment, and assistance, as well as case monitoring and follow-up services.

As an EAP provider, you cannot complete short term disability forms, evaluation forms for court purposes, fitness for duty evaluations, psychological testing or any other documents that would be completed by a “treating” provider.

Referral Information:

This client has been authorized EAP sessions by KEPRO for face-to-face assessment/short-term counseling/referral.

If treatment beyond the EAP services is appropriate, please assist the client in connecting to an appropriate resource or provider covered through their health plan.

KEPRO will not assume financial responsibility for services beyond the authorized EAP sessions or any services that have not been authorized by the EAP.

KEPRO allows clinicians to self-refer. If you are a participating provider with the client’s health plan, you may continue care through that modality.

Billing:

The EAP client is NOT responsible for payment for any EAP sessions.

Enclosed VOUCHER forms are to be completed by the provider for each session and must be received within 45 days of the session to be paid.

Please include the Assessment/Referral form with the first session voucher.

At the time of case closure, please return the Closure Voucher, even if there was not a closure session. PLEASE MAIL VOUCHERS TO: EAP VOUCHER PAYMENTS 6085 Marshalee Drive, Suite 110 Elkridge, MD 21075 Fax: 1-866-480-8341

EAP Sessions are paid at your KEPRO contracted reimbursement rate in accordance with the terms of the EAP Affiliate Agreement. Please call (800) 713-6251 with any provider questions.

Please do NOT submit a HCFA form or a DSM-V Diagnosis for EAP visits.

Questions or Concerns regarding this referral? Please call us at 1-800-713-6251

http://eap.kepro.com

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Additional EAP Resources may be available – please refer the client to their EAP dedicated toll-free 800 number available 24/7/365 for further information and/or assistance with any of these additional EAP Resources.

LEGAL CONSULTATION The EAP benefit includes a no-cost 30-minute telephonic consultation with a lawyer to discuss any non-work/non-employer related legal concerns the client may have. In addition, the client also has the ability to retain the services of a network attorney at a 25% discount from their usual and customary fees. Common legal issues addressed by EAP include:

Bail Bonds Bankruptcy Family Law General Legal Issues Personal Injury Criminal Law Social Security

Real Estate Law Immigration Elder Law

FINANCIAL CONSULTATION The EAP benefit includes a no-cost 30-minute consultation with a professional financial advisor to discuss personal financial concerns. Please note that this EAP benefit provides consultation, planning, and referral services, not direct financial support. Common financials issues addressed by EAP include:

Bankruptcy Credit Cards Investments Tax Information/Questions Retirement Planning Credit Counseling Budgeting

Wage Garnishment/Liens Debt Collection Mortgages

ADULT/ELDER CARE CONSULTATION / REFERRAL The EAP includes adult/eldercare resource and referral services designed to assist with a broad continuum of consultation and resource needs for clients who may need to assistance in supporting aging family members. EAP offers consultations, referrals, and educational materials for issues such as:

Aids to Daily Living Disabled Adult Child Rehabilitation Programs Long-Distance Care Giving Respite Care Retirement Transportation Meals on Wheels Alternative Housing

Adult Day Care Caretaker Support Medicare/Medicaid

EAPHELPLINK EAPHelpLink is an interactive tool that provides consumer information and interactive self-help and life management tools. HelpLink is designed to assist EAP clients with issues that impact your health, quality of life, and well-being. The client can access EAPHelpLink, by going to www.eaphelplink.com. The client will need to enter their “Company Code” which is available on their EAP brochure or by calling the EAP toll-free number.)

DAILY LIVING/CONVENIENCE CONSULTATION / REFERRAL The EAP includes convenience services to help clients make the most of their money and free time. EAP offers referrals and educational materials for issues such as:

Home repairs Gift recommendations Moving/Relocation Public transportation Apartment Locators Tutoring Cleaning services Sightseeing tours Pet sitters/kennels Personal shopping

Scholarship/financial aid College searches College prep

CHILD CARE CONSULTATION / REFERRAL The EAP includes childcare resource and referral services designed to assist with a wide range of dependent care needs that may arise throughout the life cycle. EAP offers consultations, referrals, and educational materials for issues such as:

Academic Concerns K-12 Adoption Summer Programs After-school Programs Special Needs School District Profiles Prenatal Care Childcare

Preschool Back-up care